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General NPI Number Information
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NPI Number | 1811931140
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Entity Type | Individual
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Provider Name | MELVIN D GERALD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 326 COLUMBUS CORNERS DR
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City | WHITEVILLE
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State | NC
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Zip | 28472-4929
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Country | US
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Telephone | 910-642-2050
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Fax | 910-207-6911
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Provider Business Mailing Address
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Address Line | PO BOX 75492
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City | BALTIMORE
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State | MD
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Zip | 21275-5492
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Country | US
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Telephone | 301-364-3200
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Fax | 301-364-3261
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C38803002
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20005
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License Number State | NC
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